Have you bipolars used lithium with tegretol,? I now take tegretol—higher than 400 mg tegretol gives me word loss. This would be to drop the 75 mg Wellbutrin that pushes me up too high. On the meds u see below, I am usually hypomanic enough to cause some problems. Better than slumping down to the depressive side, but I talk too much, can be tactless, etc.